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Device for intervertebral assisted motion (DIAM)

Treating degenerative disc disease and lower back pain

A common procedure to relieve lower back and leg pain caused by degenerative disc disease and spinal stenosis

About DIAM

If you're experiencing lower back and leg pain from degenerative disc disease or spinal stenosis, your consultant may recommend a DIAM implant. The H-shaped implant restores the height of the worn disc to release trapped nerves. It's sutured in place with a mesh band to hold it in position. The procedure is an alternative to fusion surgery.

Need to know

  • What happens during the DIAM procedure? icon plus

    As we age, the discs in our backs can wear down and create less space in our spines. This causes impaired mobility, and significant leg and back pain. A small incision is made in your back, before the problem disc is removed and the DIAM inserted. The DIAM is sutured in place with a mesh band to hold it in position. The short procedure is performed under a light general anaesthetic.
  • How to prepare for a DIAM procedure icon plus

    Your consultant will tell you if you have to avoid eating and drinking before the procedure. Because general anaesthetic is used during the procedure, you may need to fast for several hours before the operation. Your consultant will tell you should avoid eating and drinking. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.
  • After your procedure icon plus

    You will need to lie flat for three to four hours before attempting to sit up. A physiotherapist or nurse will help you move about when you feel able, and you should be moving independently within a few days. You'll spend about two nights in hospital.

    On discharge you will be given analgesia pain relief medicine and any other required medications. It is advisable that you continue taking your analgesia for at least two weeks post-discharge. Your surgeon may ask you to wear a corset post-surgery. This is to be worn when moving around. By four weeks post-surgery, you should be sitting comfortably for 45mins-1hr at a time.

Consultant in theatres

Our spinal consultants

We're proud to work with leading orthopaedic spinal experts, whose skills are matched by their integrity and compassion.

Our locations

From complex spinal surgery to diagnostic tests and procedures, we provide exceptional spinal care across our network of hospitals, outpatient centres and specialist clinics.

  • The HSC exterior

    The Harley Street Clinic

    35 Weymouth Street

    London  W1G 8BJ

    Appointments 020 7935 7700
    General enquiries 020 7034 8181

  • The Wellington Hospital - South Building

    The Wellington Hospital

    Wellington Place

    London NW8 9LE

    Appointments 020 7483 5148
    General enquiries 020 7586 5959

  • London Bridge Hospital

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments & Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773

  • The Lister Hospital

    Chelsea Bridge Road

    London

    SW1W 8RH

    Appointments 020 7730 8298
    General enquiries 020 7730 7733

  • The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 7908 8001
    General enquiries 020 7486 1234

  • The Portland Hospital

    205 - 209 Great Portland Street

    London

    W1W 5AH

    Children's enquiries 020 7390 8020
    Maternity enquiries 020 7390 6068
    Gynaecology enquiries 020 7390 6200

  • London Bridge Hospital Facility

    HCA UK at The Shard

    The Shard, 32 St Thomas Street

    London

    SE1 9BS

    Call 020 3131 6888
    Opening hours 7:30 - 20:00 Monday - Friday

  • Platinum Medical Centre facility

    Platinum Medical Centre

    Platinum Medical Centre, 15 - 17 Lodge Road

    London

    NW8 7JA

    Call 020 7483 5148

  • Facility-chelsea-outpatient-cenre-hero-579x579

    Chelsea Outpatient Centre

    280 Kings Road

    London SW3 5AW

    Call 020 7881 4114
    Opening times 8am - 8pm

Request a spinal appointment

We're happy to help you make an appointment with one of our experienced spinal consultants. We can also make imaging and outpatient physiotherapy appointments for you.

020 7079 4344
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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